American Kennel Club Junior Handler Number Requestimages.akc.org/pdf/AEJRS3.pdf · Junior Handler...
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American Kennel Club Junior Handler Number Request Please complete, sign, and date this form in order to obtain a Junior Handler number for your child. Please return the completed form as indicated at the bottom of the form and keep a copy for your records. By completing and signing this form, I give my consent to the American Kennel Club to issue my child a Junior Handler number. I further give my consent to the American Kennel Club to provide my child’s name and ranking points information to third parties with whom the American Kennel Club has agreements to publish Junior handler ranking statistics. Parent/Guardian Signature Date Return Application to: AKC/Juniors PO Box 900059 Raleigh, NC 27675 email: [email protected] Fax: (919) 816-3770 Mailing Address 1 Mailing Address 2 Home Phone Email Address First Name Last Name City State/Prov Zip Code Country AEJRS3 (03/17) v1.0 Edit Please add my child to the list to receive the Junior’s E-Newsletter: Yes No (Check one) Date of Birth (mm/dd/yyyy) Mailing Address 1 Mailing Address 2 City State/Prov Zip Code Home Phone Email Address First Name Last Name Country Does the mailing address for the Junior match the mailing address for the Parent/Guardian? Yes No (Check one) Is your junior involved in 4-H: Yes No (Check one)
Transcript of American Kennel Club Junior Handler Number Requestimages.akc.org/pdf/AEJRS3.pdf · Junior Handler...
American Kennel ClubJunior Handler Number Request
Please complete, sign, and date this form in order to obtain a Junior Handler number for your child. Please return the completed form as indicated at the bottom of the form and keep a copy for your records.
By completing and signing this form, I give my consent to the American Kennel Club to issue my child a Junior Handler number. I further give my consent to the American Kennel Club to provide my child’s name and ranking points information to third parties with whom the American Kennel Club has agreements to publish Junior handler ranking statistics.
Parent/Guardian Signature Date
Return Application to:
AKC/JuniorsPO Box 900059
Raleigh, NC 27675email: [email protected]
Fax: (919) 816-3770
Parent/Guardian Information
Mailing Address 1 Mailing Address 2
Home Phone Email Address
First Name Last Name
City State/Prov Zip Code Country
AEJRS3 (03/17) v1.0 Edit
Junior Information
Please add my child to the list to receive the Junior’s E-Newsletter: Yes No (Check one)
Date of Birth (mm/dd/yyyy)
Mailing Address 1 Mailing Address 2
City State/Prov Zip Code
Home Phone Email Address
First Name Last Name
Country
Does the mailing address for the Junior match the mailing address for the Parent/Guardian? Yes No (Check one)
Is your junior involved in 4-H: Yes No (Check one)
